Comparison of early efficacy of unilateral biportal endoscopy and percutaneous transforaminal endoscopic discectomy on single-level lumbar disc herniation
Objective To compare the early efficacy and safety of unilateral biportal endoscopy(UBE)and percutaneous transforaminal endoscopic discectomy(PTED)in the treatment of single-level lumbar disc herniation.Methods From January to June 2023,200 patients with single-level lumbar disc herniation were treated in Shaanxi Provincial People's Hospital,among whom 68 patients received UBE(UBE group)and 132 patients received PTED(PTED group).The intraoperative fluoroscopy number,intraoperative irrigation volume,operative time,postoperative ambulation time and length of hospital stay were compared between two groups.The Visual Analogue Scale(VAS)scores for low back and leg pain before and 3 d,1 month,3 months and 6 months after operation,Oswestry Disability Index(ODI)scores before and 1,3 and 6 months after operation,rates of intraoperative and postoperative complications,and recurrence rate and excellent and good effective rate 6 months after operation were assessed between two groups.Results The operative time,postoperative ambulation time,and length of hospital stay were longer in the UBE group[(79.87±12.45)min,(2.21±1.02)d,(5.96±1.33)d]than those in the PTED group[(59.81±11.79)min,(1.43±0.88)d,(3.24±1.21)d](t=5.572-14.500,all P values＜0.05),the intraoperative irrigation volume was larger in the UBE group[(6.13±1.15)L]than that in the PTED group[(3.35±0.63)L](t=22.131,P＜0.001),and the number of fluoroscopy was less in the UBE group[(3.24±0.88)times]than that in the PTED group[(5.11±0.90)times](t=-14.000,P＜0.001).The VAS scores for low back pain and leg pain before and 3 d,1 month,3 months and 6 months after operation,and ODI scores before and 1,3 and 6 months after operation showed no significant differences between two groups(t=-3.890 to 1.042,all P values＞0.05),and decreased sequentially with the time prolonging in both groups(P＜0.05).The total rate of intraoperative and postoperative complications,rates of dural sac tear,water intoxication,hematoma formation and incision infection,and recurrence rate and excellent and good effective rate 6 months after operation showed no significant differences between the UBE group(4.41％,1.47％,1.47％,1.47％,0,1.47％,95.59％)and the PTED group(0.76％,0,0,0,0.76％,1.52％,94.70％)(x2=0.001-6.000,all P values＞0.05).Conclusions Both UBE and PTED are safe and effective for the early treatment of single-level lumbar disc herniation.PTED has the advantages of shorter operative time,less intraoperative trauma,and faster postoperative recovery.UBE has the advantage of less fluoroscopy during operation,which can reduce the intraoperative radiation exposure.
NETL
NSTL
万方数据
